A 4-year-old boy is brought to the physician by his parents because of fever and mild abdominal pain for 7 days. His parents report that he developed a rash 2 days ago. He has had no diarrhea or vomiting. Four weeks ago, he returned from a camping trip to Colorado with his family. His immunization records are unavailable. His temperature is 39.4°C (102.9°F), pulse is 111/min, respirations are 27/min, and blood pressure is 96/65 mm Hg. Examination shows bilateral conjunctival injections and fissures on his lower lips. The pharynx is erythematous. There is tender cervical lymphadenopathy. The hands and feet appear edematous. A macular morbilliform rash is present over the trunk. Bilateral knee joints are swollen and tender; range of motion is limited by pain. Which of the following is the most appropriate treatment for this patient's condition?
ASupportive treatment only
BIntravenous immunoglobulin
COral ibuprofen
DOral penicillin
EOral doxycycline
A 4-year-old boy is brought to a pediatrician by his parents with a history of fever for the last 5 days and irritability, decreased appetite, vomiting, and swelling of the hands and feet for the last 3 days. The patient’s mother mentions that he has been taking antibiotics and antipyretics prescribed by another physician for the last 3 days, but there has been no improvement His temperature is 39.4°C (103.0°F), pulse is 128/min, respiratory rate is 24/min, and blood pressure is 96/64 mm Hg. On physical examination, there is significant edema of the hands and feet bilaterally. There is a 2.5 cm diameter freely moveable, nontender cervical lymph node is palpable on the right side. A strawberry tongue and perianal erythema are noted. Conjunctival injection is present bilaterally. Laboratory findings reveal mild anemia and a leukocytosis with a left-shift. Erythrocyte sedimentation rate (ESR) and serum C-reactive protein (CRP) are increased. If not treated appropriately, this patient is at increased risk of developing which of the following complications?
ALower gastrointestinal hemorrhage
BCoronary artery ectasia
CAcute renal failure
DPulmonary embolism
EAcute disseminated encephalomyelitis (ADEM)
A 5-year-old girl presents with a rash and a persistent fever of 41.0°C (105.8°F), not relieved by Tylenol. The patient's mother says that her symptoms started 5 days ago and have not improved. The rash started on her trunk and now is present everywhere including the palms and soles. Her birth history is normal. Her pulse is 120/min and respiratory rate is 22/min. On physical examination, the patient is agitated and ill-appearing. There is significant swelling of the distal upper and lower extremities bilaterally. The pharynx is hyperemic (see image). Generalized edema with palpable cervical lymphadenopathy is noted. Muscle tone is normal. Remainder of exam is unremarkable. Laboratory findings are significant for the following: Laboratory test Hb 9 g/dL RBC 3.3/mm3 Neutrophilic leukocytosis 28,000/mm3 Normal platelet count 200,000/mm3 Serum ɣ-GT increased Hyperbilirubinemia 2.98 mg/dL AST and ALT are normal, but there is markedly increased serum CRP. Which of the following is the most likely diagnosis in this patient?
AJuvenile rheumatoid arthritis
BScarlet fever
CAdenovirus infection
DStaphylococcal scalded skin syndrome
EKawasaki disease
+ 7 more in the PDF
Browse all chapters